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医生对新诊断晚期卵巢癌患者管理中基因生物标志物检测的知识、应用及认知:一项国际医生调查

Physician knowledge, use, and perceptions of genetic biomarker testing for the management of patients with newly diagnosed advanced ovarian cancer: an international physician survey.

作者信息

Banerjee Susana, Eskander Ramez N, Bailey Tom, Ambler Will, Volpe Stephanie, Özgören Ozan, Grabowski Jacek P, Valabrega Giorgio

机构信息

Gynaecology Unit, The Royal Marsden NHS Foundation Trust and Institute of Cancer Research, London, UK.

San Diego Moores Cancer Center, University of California, San Diego, CA, USA.

出版信息

Future Oncol. 2025 Feb;21(4):437-445. doi: 10.1080/14796694.2025.2449782. Epub 2025 Jan 15.

Abstract

AIMS

To explore physician-reported knowledge, use, and perceptions of genetic testing for advanced ovarian cancer management.

MATERIALS & METHODS: Gynecology/oncology specialists ( = 390) in the US, Europe, Canada, Japan, and Australia completed an online survey spanning March 2021 to April 2022.

RESULTS

Physician-reported breast cancer gene mutation (BRCAm) testing rates increased over the 2 years before the survey; most patients underwent testing in the preceding 6 months. Homologous recombination deficiency (HRD) genomic instability testing rates and physicians' confidence interpreting results remained relatively low. Genetic testing was driven by the associated treatment implications of the findings. Poor performance status, inadequate tissue, and patients' willingness to undergo testing were reported barriers to testing.

CONCLUSIONS

Findings indicate that there is a need to improve both access to and information about HRD testing.

摘要

目的

探讨医生报告的关于晚期卵巢癌管理中基因检测的知识、使用情况及看法。

材料与方法

美国、欧洲、加拿大、日本和澳大利亚的妇科/肿瘤学专家(n = 390)完成了一项于2021年3月至2022年4月期间开展的在线调查。

结果

医生报告的乳腺癌基因突变(BRCAm)检测率在调查前的2年中有所上升;大多数患者在之前的6个月内接受了检测。同源重组缺陷(HRD)基因组不稳定性检测率以及医生解读结果的信心仍然相对较低。基因检测受到检测结果相关治疗意义的推动。报告显示,身体状况差、组织样本不足以及患者接受检测的意愿是检测的障碍。

结论

研究结果表明,有必要改善HRD检测的可及性和相关信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5526/11812359/fae8d2e656d6/IFON_A_2449782_F0001_OC.jpg

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